Monitorización de la hemodinámica cerebral en los traumatismos craneoencefálicos graves a partir de las diferencias arterioyugulares de oxígeno. Fundamentos, metodología e indicaciones
M.A. Poca, J. Sauquillo, A. Chasampi, F. Coello, F. Ramírez, E. Rubio
Servicio de Neurocirugía. Hospital Vall d’Hebron. Barcelona
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Fundamentos, metodología e indicaciones" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "285" "paginaFinal" => "298" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "M.A. Poca, J. Sauquillo, A. Chasampi, F. Coello, F. Ramírez, E. Rubio" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "Poca" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sauquillo" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Chasampi" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Coello" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Ramírez" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Rubio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Vall d’Hebron. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "A. Robles, C. Triginer, A. Gamacho, M.D. Pelegri" "autores" => array:4 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Robles" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Triginer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Gamacho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "M.D." "apellidos" => "Pelegri" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Vigilancia Intensiva de Neurotraumatología. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicio de Bioquímica. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162329" "palabras" => array:8 [ 0 => "Traumatismo craneoencefálico" 1 => "Flujo sanguíneo cerebral" 2 => "Metabolismo cerebral" 3 => "Diferencias arteriovenosas de oxígeno" 4 => "Lactato" 5 => "Bulbo yugular" 6 => "Catéter yugular retrogrado" 7 => "Isquemia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162330" "palabras" => array:8 [ 0 => "Severe head injury" 1 => "Cerebral blood flow" 2 => "Cerebral metabolism" 3 => "Arteriovenous differences of oxygen" 4 => "Lactate" 5 => "Jugular bulb" 6 => "Reverse jugular catheter" 7 => "Ischemia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudios recientes han demostrado la importancia de las lesiones secundarias en el resultado final de los pacientes afectos de un traumatismo craneoencefálico grave (TCEG). Entre las lesiones secundarias, revisten una especial importancia las lesiones hipóxico-isquémicas cerebrales. La potencial reversibilidad en algunos casos de las lesiones isquémicas, sugiere la necesidad de un diagnóstico precoz y adecuado de las mismas. La monitorización de la hemodinámica y del metabolismo cerebral a partir de las diferencias arteriovenosas de oxígeno y lactatos, permite detectar alteraciones del metabolismo energético celular.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A pesar de que diversos autores preconizan este sistema de monitorización, la literatura que existe al respecto es escasa y controvertida. En este trabajo pretendemos exponer los fundamentos, indicaciones y limitaciones del método, ya que su uso rutinario puede contribuir a la racionalización de las medidas terapéuticas y, en último término, a mejorar el pronóstico de los pacientes con un TCE grave.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Recent studies have shown the importance of secondary lesions in the final outcome of patients suffering from severe head injury. Among secondary lesions, hypoxic-ischemic injury is of special importance. Possible reversibility of ischemic damage suggests the need of an early diagnosis of these lesions. Monitorization of hemodynamics and cerebral metabolism by measuring the arteriovenous differences of oxygen and lactates may allow to detect significant alterations in brain metabolism. Some authors have considered this method of monitoring to be controversial. The object of this study is to describe the basic methodology, the indications and the limitations of this method wich may contribute to the rationalitation of therapeutic manouvers and improve the final outcome of severe head injuried patients.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Poca, M. A.; Sauquillo, J.; Chasampi, A.; Robles, A.; Triginer, C.; Garnacho, A.; Coello, F.; Pelegri, M. D.; Ramírez, F.; Rubio, E.: Monitorización de la hemodinámica cerebral en los traumatismos craneoencefálicos graves a partir de las diferencias arterioyugulares de oxígeno. Fundamentos, metodología e indicaciones. Neurocirugía 1993; 4: 285–298.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:77 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 3 | 3 | 6 |
| 2023 February | 0 | 1 | 1 |
| 2018 February | 9 | 16 | 25 |
| 2018 January | 14 | 16 | 30 |
| 2017 December | 16 | 35 | 51 |
| 2017 November | 44 | 45 | 89 |
| 2017 October | 13 | 34 | 47 |
| 2017 September | 13 | 34 | 47 |
| 2017 August | 16 | 30 | 46 |
| 2017 July | 16 | 16 | 32 |
| 2017 June | 15 | 54 | 69 |
| 2017 May | 17 | 20 | 37 |
| 2017 April | 8 | 31 | 39 |
| 2017 March | 12 | 76 | 88 |
| 2017 February | 4 | 20 | 24 |
| 2017 January | 7 | 13 | 20 |
| 2016 December | 21 | 28 | 49 |
| 2016 November | 22 | 74 | 96 |
| 2016 October | 24 | 45 | 69 |
| 2016 September | 35 | 73 | 108 |
| 2016 August | 73 | 48 | 121 |
| 2016 July | 34 | 54 | 88 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 1 | 0 | 1 |
| 2015 August | 1 | 0 | 1 |
| 2015 July | 0 | 5 | 5 |
| 2015 June | 14 | 24 | 38 |
| 2015 May | 43 | 57 | 100 |
| 2015 April | 27 | 34 | 61 |
| 2015 March | 15 | 40 | 55 |
| 2015 February | 11 | 47 | 58 |
| 2015 January | 17 | 47 | 64 |
| 2014 December | 22 | 27 | 49 |
| 2014 November | 13 | 48 | 61 |
| 2014 October | 23 | 42 | 65 |
| 2014 September | 16 | 44 | 60 |
| 2014 August | 20 | 45 | 65 |
| 2014 July | 25 | 40 | 65 |
| 2014 June | 23 | 31 | 54 |
| 2014 May | 17 | 40 | 57 |
| 2014 April | 8 | 30 | 38 |
| 2014 March | 12 | 38 | 50 |
| 2014 February | 23 | 30 | 53 |
| 2014 January | 17 | 25 | 42 |
| 2013 December | 24 | 24 | 48 |
| 2013 November | 15 | 43 | 58 |
| 2013 October | 21 | 32 | 53 |
| 2013 September | 29 | 63 | 92 |
| 2013 August | 22 | 56 | 78 |
| 2013 July | 26 | 26 | 52 |
| 2013 June | 14 | 56 | 70 |
| 2013 May | 11 | 48 | 59 |
| 2013 April | 17 | 63 | 80 |
| 2013 March | 9 | 34 | 43 |
| 2013 February | 8 | 30 | 38 |
| 2013 January | 14 | 32 | 46 |
| 2012 December | 6 | 24 | 30 |
| 2012 November | 1 | 17 | 18 |
| 2012 October | 0 | 7 | 7 |
| 2012 September | 0 | 3 | 3 |
Show all
